Authors
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Economic Burden of Osteoporotic Fractures in US Managed Care EnrolleesOsteoporotic fractures are associated with a significant economic burden, including costs of rehabilitation services and a high total all-cause cost of care.
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Breast Cancer Multigene Testing Trends and Impact on Chemotherapy UseA multigene test for breast cancer recurrence risk was used in a minority of eligible patients, yet was associated with a decrease in chemotherapy use.
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Long-Term Statin Use and the Risk of Parkinson's DiseaseThis historical cohort study demonstrates that long-term statin use is associated with a significant decrease in the incidence of Parkinson's disease.
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Implementing an Oncology Precision Medicine Clinic in a Large Community Health SystemPrecision medicine is increasingly being utilized in oncology. Aurora Health Care has implemented Syapse software to integrate molecular data into the electronic health record to accommodate precision medicine findings.
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Curtailing Laboratory Test Ordering in a Managed Care Setting Through Redesign of a Computerized Order FormSimple restructuring of a computerized order form significantly reduced the number of laboratory tests suspected of being unnecessary or redundant.
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Patient-Centered Care: Turning the Rhetoric Into RealityUnderstanding the perspectives of clinicians and administrators who are leaders in implementing patient-centeredness in accountable care organizations can help point the way toward implementation by others.
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Comparative Effectiveness of Early Natalizumab Treatment in JC Virus-Negative Relapsing-Remitting Multiple SclerosisWe estimated the long-term risks and benefits of disease modifying therapies. Benefits were favored by natalizumab with minimal increased risks in the negative anti-JC virus population.
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Cost of Biologic Treatment Persistence or Switching in Rheumatoid ArthritisPatients with rheumatoid arthritis who switched biologics incurred higher costs than patients who persisted on biologics. Etanercept appeared to be associated with the lowest costs.
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The Human Resource Costs of Implementing Autopend Clinical Decision Support to Improve Health MaintenanceThe development and deployment of an autopend functionality within an existing health maintenance system took more than 3 years and cost $201,500 (2013 US$).
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Improved Cost and Utilization Among Medicare Beneficiaries Dispositioned From the ED to Receive Home Health Care Compared With Inpatient HospitalizationA retrospective analysis of Medicare claims was used to study emergency department (ED) dispositions, specifically evaluating inpatient admissions compared with home health referrals.
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E-Consult Implementation: Lessons Learned Using Consolidated Framework for Implementation ResearchThis paper identified 4 factors associated with implementation success of e-consults in 8 VA medical centers, with implications for implementing similar health IT initiatives elsewhere.
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Knowledge, Attitudes, and Preferences Regarding Advance Directives Among Patients of a Managed Care OrganizationAdults 20 years or older were surveyed regarding advance directives (ADs); one third had completed an AD. Subjects were comfortable with provider initiation of the topic.
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Cost Minimization of Medicare Part D Prescription Drug Plan ExpendituresStudy results indicate that outreach interventions performed by trained student pharmacists assist Medicare beneficiaries to effectively navigate their Part D benefit, thereby reducing out-of-pocket costs.
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Potential Impact of Pharmaceutical Industry Rebates on Medication AdherenceCost is a common barrier to medication adherence. The authors discuss the potential role of medication rebates in patients’ out-of-pocket costs and medication adherence.
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The Value of Colonoscopic Colorectal Cancer Screening of Adults Aged 50 to 64Screening commercially insured individuals for colorectal cancer is a high-value service, costing less per year of life saved than breast or cervical cancer screening.
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Trends in Public Perceptions of Electronic Health Records During Early Years of Meaningful UseDuring the early years of the "meaningful use" program, surveys found decreases in both optimism and concerns about electronic health records.
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Mental Illness and Warfarin Use in Atrial FibrillationAtrial fibrillation patients with mental illness are less likely to receive warfarin anticoagulation; those who do receive warfarin have excess risk of over-anticoagulation.
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Optimizing Enrollment in Employer Health Programs: A Comparison of Enrollment Strategies in the Diabetes Health PlanAn automatic enrollment strategy for health insurance programs may not only increase the total number of enrollees but may also decrease some enrollment disparities.
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Adherence and Dosing Frequency of Common Medications for Cardiovascular PatientsIn this database analysis, greater adherence was observed for once-daily dosing compared with twice-daily dosing with chronic-use prescription medications used by patients with cardiovascular disease.
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The Accountable Primary Care Model: Beyond Medical Home 2.0The new Accountable Primary Care Model delivers Triple Aim-like outcomes. This model is empirical, measurable, programmatic, scalable, and transplantable.
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Against the Current: Back-Transfer as a Mechanism for Rural RegionalizationThe authors investigated back-transfer: the transfer of patients near the end of an acute hospitalization to a local community hospital for completion of their medical care.
